AI in Medical Coding: A $10.8 Billion Opportunity Reshaping Healthcare Revenue
The global AI in medical coding market is valued at USD 3.41 billion in 2025. The market is expected to grow to USD 10.84 billion by 2034. Growth rate is strong, with a CAGR of 13.76% from 2026 to 2034....
Certification or Fellowship in Medical Coding: Which One Builds Real-World Skills
In medical coding, learning never truly stops. As guidelines change, audits increase, and compliance expectations become stricter, coders are constantly upgrading their skills. At this stage, many coders face a common question: Should I do another certification or enroll in...
7 Medicare Billing Codes Triggering Unexpected Charges (2026 Update)
Below are the seven Medicare billing codes most likely to trigger surprise charges in 2026. 1. HCPCS G2211 – The Complexity Add-On This is the most common surprise code appearing on 2026 Medicare bills. G2211 is an add-on code reported...
Global Healthcare Runs on ICD-11—U.S. Healthcare Still Doesn’t
Why U.S. Healthcare Should Move to ICD-11 — Now, Not Later (Coding Is No Longer Just About Payment) The Quiet Storm in Healthcare Coding For decades, medical coding in the United States has been viewed primarily as a billing...
Why AI Is No Longer Optional for Medical Coders and Billers in 2026
Why AI Is No Longer Optional for Medical Coders and Billers Medical Necessity, Denials, and the Rise of Agentic AI in Revenue Protection Most hospital leaders clearly understand the financial risk associated with prior authorization failures. However, a far more...
Medical Coders Alert: Anthem’s E/M Policy Could Change Everything
Expert insights from Dr Santosh Guptha, CEO Medesun, bringing 21 years experience, 45 certifications, world record holder in medical coding and billing. Anthem Blue Cross E/M Policy 2026: Why Medical Coders Must Pay Attention Now A Major E/M Policy Change...
2026 CMS Lab Billing Changes Every Medical Coder and Biller Must Understand
Starting January 1, 2026, the Centers for Medicare & Medicaid Services (CMS) finalized major updates to the Clinical Laboratory Fee Schedule (CLFS) that are changing how laboratory services are billed across the United States. For years, many lab-related services were...
ASC Coding in 2026 New Opportunities for Outpatient Coders
On Nov 21, CMS finalized the 2026 Hospital Outpatient Prospective Payment System OPPS and Ambulatory Surgical Center ASC rule The rule focuses on Expanding outpatient care Reducing inpatient only services Improving hospital price transparency Strengthening safety and accountability These changes...
The Great Outsourcing Wave: How CMS 2026 Policies Boost Indian Medical Coding and RCM Jobs
The year 2026 is a defining milestone for the global healthcare industry. Major policy reforms in the United States related to reimbursement, audits, prior authorization, risk adjustment, price transparency, and artificial intelligence are reshaping how healthcare organizations function. While these...
Colonoscopy Screening Coding Essentials – Expert Insights by Dr. Santosh Kumar Guptha
Screening and diagnostic colonoscopy services remains a high risk and high impact area for providers, ASCs, and billing teams. With audits increasing and payer scrutiny tightening, coders must clearly understand the distinction between average risk screening, high risk screening, and...